Blog Entry List
NC Medicaid Managed Care launched on July 1, 2021. Within the first 90 days of launch, beneficiaries can change their prepaid health plan (PHP) for any reason. The 90-day choice period ends on Sept. 30, 2021 for beneficiaries that moved to Managed Care on July 1, 2021.
Topics include key dates, playbook updates, prior authorization, FAQs, contracting, ombudsman, webinars and more.
Effective Aug. 18, 2021, the Medicaid and NC Health Choice programs cover anifrolumab-fnia injection
Effective Oct. 15, 2021, CDSAs and independent practitioners providing individualized family service plan services must resume submitting PA requests.
Will cover all U.S. FDA approved CAR T-Cell Therapies when administered per U.S. FDA approved guidelines
Two Months Left to Submit Program Year 2021 Attestations; Security Risk Analysis
Tobacco-related policy requirements go into effect on July 1, 2022.
Providers are encouraged to confirm which PA types are included in this long-term design.
Temporary Suspension of Prior Authorization for Post-Acute Placements and Temporary Availability of the Hospital at Home Program
Tips for providers to reduce the likelihood of future documentation errors
Billing codes for Medicaid beneficiaries
Taxonomy codes must be included when submitting claims to prepaid health plans
PHPs are required to provide drug coverage to Medicaid beneficiaries consistent with the drug coverage determined by NC Medicaid under fee for service.